Individual provider Active NPI

Gabriel Rivera Velazquez, M.D.

  • Vascular & Interventional Radiology Physician
  • San Juan, PR
National Provider Identifier
1346436847
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
20574 Issued in PR
Practice address
715 Ave Ponce de Leon Parada 37
Piso 2 Dept de Radiologia Invasiva
San Juan, PR 00918
Phone
(787) 758-2000
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20574 PR
Vascular & Interventional Radiology Physician 2085R0204X 20574 PR Primary

Addresses

Primary practice location

715 Ave Ponce de Leon Parada 37
Piso 2 Dept de Radiologia Invasiva
San Juan, PR 00918

Mailing address

675 Calle S Cuevas Bustamante
Apt 1702, Box114
San Juan, PR 00918-4090
Phone (787) 405-0275

Other names 1

  • Dr. Gabriel Rivera Velazquez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416000352 PR Practitioner - Interventional Radiology 2365674843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Puerto Rico School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medical Ctr Adult Unit
2 Carr 22 Bo Monacillos
San Juan, PR 00922-2116
Phone (787) 754-0101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20574PRMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Solutions PSC Vascular & Interventional Radiology CurrentSince Feb 1, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1346436847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CALLE S CUEVAS BUSTAMANTE",
            "address_2": "APT 1702, BOX114",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184090",
            "telephone_number": "787-405-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON PARADA 37",
            "address_2": "PISO 2 DEPT DE RADIOLOGIA INVASIVA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA VELAZQUEZ",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "20574",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "20574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "RIVERA VELAZQUEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.